1989, 10-27 Permit App: 89004354 Sewer SPOKANE COUNTY DEPAIaTMlElIT OF BUILDING AND SAFETY
W. 1303 BROADWAY AVENUE
SPOKANE, WASHINGTON 99260
(509) 456-3675
I certify that I have examined this permit and state that the information contained in it and submitted by me or my agent to compile said permit is true and correct.In
addition,I have read and understand the INSPECTION REQUIREMENTS/NOTICE provisions included herein and agreeto comply with same.All provisions of laws
and ordinances governing this type of work will be complied with whether specified herein or not.I understand that the issuance of this permit and any subsequent
inspection approvals or Certificates of Occupancy shall not be construed to give authority to violate or cancel the provisions of any state or local law regulating
construction,or as a warranty of conformance with the provisions of any state or local laws regulating construction.
SIGNATURE OF APPLICATION
OWNER OR AGENT fIATE
PROJECT NUMBER- 89004354 DATE= 10/27/89 PAGE= 01
APPLICATION
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SITE STREET= vz620 151H AVE PARCEL-0= 22543-1401
SPOKANE
{
PERMIT USE= SEWER CONNECTION — 880
PLATO= 001345 PLAT NAME= JORGENE ADD
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•n• -.... BLDGS= •}.• DWELLINGS=
OWNER= ANDERSON
. ! ttRONALD PHONE= 509
; : 924 4106t
STREET= ::J. # 5TH AVE
ADDRESS= SPOKANE WA 99216
CONTACT i,}!i!}....... ::•J.1 3! ..}t'3 SANITATION , H -.., a ... .. ... 09 ..... ...
BUILDING . }.. : ..:.,;i}. FRONT=.:. A LEFT= NA RIGHT=
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CONTRACTOR- ti T " - >tN SANITATION H: N «: 509 926 4781
STREET= 7812 E BALDWIN AVE
ADDRESS= SPOKANE W(', 99212
ITEM E#'i s.ESC It"` ! .#.!.N QUANTITY FEE AMOUNT
PROCESSING FEE 10,00SEWER CONNECTION IOi'; : j,0
PERMIT i 1 (•r'l... FEE AMOUNT AMittiN ! PA.I!? AMOUNT OWING
::•
EWER PE F;.:t"i I-i 50 .00 ,00 i;1 '.?,:! . ±:7}:1
50„00 50.00
Pku
, ! {`.' : JULIE ,'I"i('# I 1 I..
i..R.1.r`1. 1 1::.i) .{:y Y : JULIE S#"t•i ('T i#
SEWER STUB AS—BUILT INFORMATION . : AVAILABLE AT : COUNTY
UTILITIES DEPARTMENT (456-3604)
CONTRACTOR i..., 1 .^,..N T T O }. O t AND 1.:
t.: .#.:• FIELD.i.i::.t..... i..._..!_..:(••} } ,.:. t ... .:..,}: _i'rt THE
F#...#::.'w('# 1 .t.4.j#•+: AND POSITION OF SEWER STUB B j_' I1_.ii: TO ANY OTHER
EXCAVATIO;
i.! LOCATE BURIED CABLES, %?1”3 r:i PIPING, if:t{:•i i #::.#''•. LINES, ECT ,
CALL•ALL !E!'ORE YOU DIG (456-8000)
SEWER STUBS ARE
TO BE CHECKED F R. O#;. TO CONNECTION TO
INSURE
THAT THEY #^ •• CLEAR AND UNOBSTRUCTED TO ...l..li::. SEWER MAIN
.!}..},..!}i i+'i**.t}.;r* CALL FOR;R Ii'.,..t"`#'.i... .#.ON PRIOR •f.. COVER i•**:!:::t j.:}:
:+> '*iE'j:*3t i}:3±: 24 HOUR NOTICE R1 ,?I ; i•i. t!:,i•jf•j}:•}¢;!f g¢•it-;tF*
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}:!i i.-!..r}.:-.!:!•.1,:t!.,!, }.,!.,!,,. g. },!.-!..:}.::!.,rt 1-.1•.:t:t!•.:.!:r}. THANK ( ..i(. ..
4662-3 -I O /
/� /" ) 955L(s - / ��vi
JOB ADDRESS: 12.102-'O - 1 5Dif
SUBDIVISION: LOT : BLOCK:
OWNER: RJ ALJr)ascL PHONE: "/2 / 4-(06,
ADDRESS:
CONTRACTOR: PSblU PHONE:
ADDRESS:
LICENSE #: ' l P /a
INSPECTION DATE:
TYPE OF OCCUPANCY: